Active NPI
Jaime F Tan MD PC
- General Practice Physician
- Harbor Beach, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- JAIME F TAN MD PC
- Practice address
- 233 State St
Harbor Beach, MI 48441-1206 - Phone
- (989) 479-3111
- NPI assigned
- May 23, 2008
- Last updated
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jaime F Tan, MD
- Title
- Medical Doctor
- Phone
- (989) 479-3111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
233 State St
Harbor Beach, MI 48441-1206
Mailing address
233 State St
Harbor Beach, MI 48441-1206
Phone (989) 479-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101754354 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
233 State St
Harbor Beach, MI 48441
Phone (989) 479-3111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Harbor Beach, MI
- NPI 1346235207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1336307651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 STATE ST",
"city": "HARBOR BEACH",
"state": "MI",
"postal_code": "484411206",
"telephone_number": "989-479-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 STATE ST",
"city": "HARBOR BEACH",
"state": "MI",
"postal_code": "484411206",
"telephone_number": "989-479-3111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAIME F TAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-23",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "TAN",
"authorized_official_first_name": "JAIME",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "989-479-3111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101754354",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harbor Beach, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.